Manager Professional Billing & Denial Recovery

900 Methodist Corporate; United States; Hybrid; USD 90.000 - 130.000; Vollzeit

Zusammenfassung

Methodist Health System in Dallas seeks a Manager to oversee AR Specialists and a Team Lead within the Central Business Office. You will drive performance, improve reimbursement, and align with annual goals in collaboration with the Director.

Expertise in CPT/HCPCS/ICD-10 and Epic is required, with a focus on denial management and process improvement. The role supports a hybrid work arrangement with opportunities for staff development and cross-functional collaboration across the Revenue Cycle

Qualifikationen

• Bachelor's degree in Healthcare Administration, Business, or related field required.
• Master's degree preferred.
• Deep knowledge of CPT/HCPCS/ICD-10 coding and CMS guidelines.

Aufgaben

• Leads post-bill follow-up and denial resolution across all payers to maximize reimbursement for multi-specialty physician services.
• Directs the appeals and reconsideration process with root cause analysis and persuasive write-ups.
• Collaborates with Revenue Integrity and Coding to reduce revenue leakage and ensure accurate charge capture.

Kenntnisse

Leadership

Communication

Denial management

Epic experience

Budgeting

Ausbildung

Bachelor's degree in Healthcare Administration or related field

Master's degree preferred

Tools

Epic

Jobbeschreibung

Job Description

Hours of Work : 40 Days Of Week : Mon-Fri Work Shift : Job Description : Your Job: The Manager in this role is responsible for the oversight of AR Specialist and a Team Lead. Setting and achieving performance goals by fostering teamwork, effective communication and moving conflict to collaboration within the Central Business Office. Monitors and improves all efforts to reduce accounts receivables according to goals established by MHS Administration. Monitors quality of work and proactively reviews trends and variances that may delay reimbursement. Works with the Director to prioritize departmental initiatives to develop, implement, monitor, and communicate annual goals and objectives. Understanding and knowledge of budgets and performance standards for the area of responsibility in order to evaluate opportunities for cost saving and quality improvement. Interacts with Human Resource including hiring, training, coaching, counseling for employees in the area of their responsibility.

Education

• Bachelor’s degree in Healthcare Administration, Business, or related field required. Master’s preferred.

Experience

• 5+ years in physician billing, revenue cycle management, or payer relations; 3+ years of direct leadership experience.

Knowledge Base

• In-depth understanding of CPT/HCPCS/ICD-10 coding, payer-specific requirements, and CMS guidelines for physician services.

Systems

• Epic experience required; experience with denial management systems and reporting tools preferred.

Certifications

• Certification through HFMA, AAHAM, or Epic (PB Resolute or Claim Edit) preferred for new hires; encouraged for incumbents.

Job Responsibilities

• Leads all post-bill follow-up and denial resolution activities across all payers, ensuring timely resolution and maximum reimbursement for multi-specialty physician services.
• Directs the appeals and reconsideration process, including root cause analysis, persuasive appeal writing, and submission accuracy.
• Collaborates with Revenue Integrity and Coding teams to ensure accurate documentation, reduce revenue leakage, and ensure compliant charge capture.
• Oversees Epic workqueue utilization, provides optimization feedback, and partners with IT to support performance improvement.
• Manages a team of AR staff (including one Team Lead), focusing on team coaching, performance monitoring, productivity tracking, and staff development.
• Conducts denial trend analysis and leads cross-functional discussions to resolve clinical, documentation, or billing workflow barriers.
• Supports AR goals, denial recovery metrics, and process improvement initiatives in partnership with the Director of Physician Revenue Optimization.
• Participates in enterprise revenue cycle meetings, peer manager forums, and professional development efforts.
• Contributes to cultural engagement, team-building initiatives, and talent development in alignment with Methodist Health’s leadership standards.

Work Arrangement

• Hybrid – Onsite 2 days per week or as required by leadership.

About Methodist Health System

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: Great Place to Work Certified 2026-2027 Glassdoor’s Best Places to Work 2025 & 2026 Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026 TIME’s Best Companies for Future Leaders 2025 & 2026 Newsweek’s America’s Most Admired Workplaces 2026 Glassdoor’s Best-Led Companies 2025 Fortune Best Workplaces in Health Care 2025 Military Friendly Gold Employer 2025 Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025 Newsweek’s Americas Greatest Workplaces 2025 Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: Great Place to Work Certified 2026-2027 Glassdoor’s Best Places to Work 2025 & 2026 Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026 TIME’s Best Companies for Future Leaders 2025 & 2026 Newsweek’s America’s Most Admired Workplaces 2026 Glassdoor’s Best-Led Companies 2025 Fortune Best Workplaces in Health Care 2025 Military Friendly Gold Employer 2025 Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025 Newsweek’s Americas Greatest Workplaces 2025